Comprehensive Physiotherapy Rehabilitation of a Patient Following Transfemoral Amputation: A Case Report

Abstract

Amputation is the surgical removal of all or a portion of a body part such as an arm or limb [1] [2]. According to the WHO classification system (ICD) there are four etiology group 1. trauma 2. Vascular insufficiency 3. Diabetes mellitus 4. malignant neoplasia [3]. Research found that RTA-related fractures make up 78% of all fractures, with motorcyclists responsible for 42% of these cases [4]. Among the significant occurrences that might alter a person’s life and functional skills are lower extremity amputation after surgery. Below knee amputations and Above knee amputations are the two classifications for lower extremity amputations [5] . Limited functional independence and a poor prognosis for the ability to walk freely following the amputation are linked to above-knee amputations [6]. Above-knee amputation, also known as "transfemoral amputation," involves removing the patella and amputation of the leg via the femur, above the level of the condyles. To cover the transacted bone, soft tissue flaps are created utilizing the leg's front and rear muscles [7]. An even appearance with a prosthesis and a good possibility of primary healing are two benefits of above-knee amputation [8]. A common complaint among amputees is phantom limb pain, which is described as pain in the missing portion of a limb. Between 42.2 and 78% of all cases are reported to have phantom limb pain [9]. After an amputation, phantom limb discomfort may be a serious obstacle to mobility. Phantom limb pain was found to have a detrimental impact on prosthetic device satisfaction in one study [10]. Physiotherapy plays an important role including all stages of the process till prosthetic training and during life thereafter [11]. Prosthetic training is another obstacle to movement after lower extremity amputation [12]. It is challenging to attain optimal functional outcomes for people who walk with a prosthesis because they are prone to gait asymmetries and changed limb loads and movement patterns [13]. The best way to treat and rehabilitate these people is not well understood. Thus, the goal of this case study is to detail how a physical therapist treated a very active person who had an above-knee amputation. The purpose of this case study is to go over important components that should be covered in rehabilitation for the best possible mobility and results with a prosthetic limb.